Pregnant drug users are the focus of this new study that argues that women who abuse substances should not be treated differently during their pregnancies but should instead be treated the same way as women who have medical problems with obstetric consequences. The social issues that produce drug abuse during pregnancy are discussed, and valuable information about top practices and policies for caring for maternal drug users is provided.

Alcohol is the most widely used drug in the world, yet alcoholism remains a serious addiction affecting nearly 20 million Americans. Our current understanding of alcohol's effect on brain structure and related functional damage is being revolutionized by genetic research, basic neuroscience, brain imaging science, and systematic study of cognitive, sensory, and motor abilities. Volume 125 of the Handbook of Clinical Neurology is a comprehensive, in-depth treatise of studies on alcohol and the brain covering the basic understanding of alcohol's effect on the central nervous system, the diagnosis and treatment of alcoholism, and prospect for recovery. The chapters within will be of interest to clinical neurologists, neuropsychologists, and researchers in all facets and levels of the neuroscience of alcohol and alcoholism.
* The first focused reference specifically on alcohol and the brain
* Details our current understanding of how alcohol impacts the central nervous system
* Covers clinical and social impact of alcohol abuse disorders and the biomedical consequences of alcohol abuse
* Includes section on neuroimaging of neurochemical markers and brain function

This issue of Nursing Clinics of North America is Guest Edited by Al Rundio, RN, at Drexel University and will focus on Addictions. Article topics will include Office-Based Opioid Treatment, Addictions and Pregnancy, Peer Assistance, Relapse Prevention for Addictions, Adolescents and Addiction, Use of Photo Voice in Addictions, Health Promotion and Prevention Strategies, Maintaining Sobriety and Recovery, and SBIRT (Screening Brief Interventio and Treatment.)

This book provides a first in-depth, comprehensive, and evidenced-based overview of the treatment of substance use disorders in the pregnant patient. It provides readers with materials that will not only aid them in identifying, assessing, and understanding the issues involved in treating these women, but also the practical tools to implement the best practices from comprehensive care programs specializing in this sort of treatment. Each chapter strikes a balance between the best scientific information available and reasoned, clinical wisdom to fill in where evidence-based information is unavailable - all in a form that is practical and accessible. It is a valuable tool for clinicians and service providers across disciplines.

This issue of Nursing Clinics includes the following topics: Nursing interventions for smoking cessation; tobacco cessation clinics; Cessation strategies for pregnant and postpartum mothers; Evidence-based cessation strategies and policies for college-age smokers; Evidence-based cessation strategies for rural communities; Gender differences and tobacco cessation; Optimizing tobacco cessation outcomes; Community based participatory research and cessation interventions; Use of quit-lines for cessation; Advocacy and smoke-free laws; Hookah use in adolescents and adults; Chewing tobacco; and E-cigarettes.

The past thirty years have witnessed a revolution in the science of addiction, yet we still rely on outdated methods of treatment. Expensive new programs for managing addiction are also flourishing, but since they are not based in science, they offer little benefit to people who cannot afford to lose money or faith in their recovery. Clarifying the cutting-edge science of addiction for both practitioners and general readers, The Thirteenth Step pairs stories of real patients with explanations of key concepts relating to their illness. A police chief who disappears on the job illustrates the process through which a drug can trigger the brain circuits mediating relapse. One person's effort to find a burrito shack in a foreign city illuminates the reward prediction error signaled by the brain chemical dopamine. With these examples and more, this volume paints a vivid, readable portrait of drug seeking, escalation, and other aspects of addiction and suggests science-based treatments that promise to improve troubling relapse rates. Merging science and human experience, The Thirteenth Step offers compassionate, valuable answers to anyone who hopes for a better handle on a confounding disease.

This completely new and updated issue takes a focused look at addiction psychiatry in three sections: Diagnostics, Therapeutics, and New Directions. Dr. Danovitch, from Cedars-Sinai and Dr. Mariani from Columbia hone in on the most rapidly advancing and relevant areas of addiction for practitioners today, from defining addiction (implications of DSM-V), to genetics and neurobiology, to specific treatment options for a variety of patient populations: for pregnant women, adolescents, and patients suffering from chronic pain, for example.? A variety of addiction types are discussed (ie, opioid, stimulant, and cannabis).? The issue closes with discussions of emerging trends, systems of care, investigational therapeutics and the role of the criminal justice system.

Becoming a quality parent doesn't happen by accident or coincidence - it needs conscious awareness and intentional effort. Working a programme of recovery is among the greatest gifts a parent can give his or her child. It is, also, a frequently underappreciated and underutilised asset in terms of how recovering people can approach parenting. When practised, the principles of recovery not only improve the well-being and functioning of a person in recovery, but can, also, facilitate healthy, quality parenting in ways that better meet the needs of children and their parents. ROOTS AND WINGS is designed to provide the practical guidance that will help people develop the awareness and skills they need to become the parents they want to be - the parents their children need them to be or even the parents they wished they themselves had.

Substance use disorders occur in 10% to 20% of patients presenting to the primary care physician, and rates are increasing. Primary care physicians are therefore in an excellent position to screen, provide early intervention, or refer patients to specialty care. This issue covers several types of substance abuse-including alcohol, prescription drugs, and recreational drugs-and gives detailed information on screening for and treating these problems.

Even as the popularity of videogames has skyrocketed, a dark cloud continues to hang over them. Many people who play games feel embarrassed to admit as much, and many who don't worry about the long-term effects of a medium often portrayed as dangerous and corruptive. Drawing on years of experience working directly with people who play games, clinical psychologist Alexander Kriss steers the discourse away from extreme and factually inaccurate claims around the role of games in addiction, violence and mental illness, instead focusing on the importance of understanding the unique relationship that forms between a game and its player. Through vivid psychotherapy case illustrations, autobiographical memoir, and a wide range of psychological theory and research, The Gaming Mind lays out an honest and humanistic vision of games, their potentials and risks, and how they can teach us more about who we are and who we could be.

This comprehensive issue on Substance Abuse in youth begins with articles on epidemiological trends, genetic risk factors, neurobiology of substance use disorders, and race and gender associations, and then provides detailed reviews on prevention and various treatment methodologies.? Treatments discussed include individual and group interventions (motivational interviewing and cognitive behavioral therapy), contingency reinforcement, multidimentional family therapy, pharmacotherapy, and post-treatment aftercare.? Also reviewed in detail are substance use disorders and psychiatric comorbidity.? The issue then takes a close look at two emerging areas of concern in youth: gambling and internet occupation, and energy drink use. By all accounts, a must-read issue for psychiatrists everywhere.

If you feel as if you can no longer control your gambling, if your gambling has interfered with your family, social, or working life, this workbook can help you take back control.
Though gambling has become increasingly prevalent in society, pathological gambling is a serious condition. Pathological gamblers find they are unable to participate in their social lives, have problems at work, and end up in financial trouble because they feel compelled to keep gambling. Much of this problem comes from incorrect beliefs about the nature of the game; people believe they can beat the system or learn to control the outcome of games of chance. In this treatment, you will learn not only how to avoid problem situations, but also the truth about gambling.
Overcoming Your Pathological Gambling is written by researchers who have spent over two decades studying the psychology of gambling. This book represents the treatment they have found to be most effective at controlling the urge to gamble, understanding the true nature of gambling games, and preventing future gambling problems. Intended for use in conjunction with supervised therapy, this workbook includes various self-assessments and exercises designed to help you reach the ultimate goal of complete abstinence from gambling.
This workbook and the corresponding therapist guide form a complete treatment package that will help you overcome your gambling problem and learn recovery skills that are useful for a lifetime.

This book presents 13 reviews collected to present the new advances in all areas of addiction research, including knowledge gained from mapping the human genome, the improved understanding of brain pathways and functions that are stimulated by addictive drugs, experimental and clinical psychology approaches to addiction and treatment, as well as both ethical considerations and social policy. The book also includes chapters on the history of addictive substances and some personal narratives of addiction. Introduced by Sir David King, Science Advisory to the UK Government and head of the Office of Science and Technology, and Nora Volkow, director of the National Institute on Drug Abuse in the USA, the book uniquely covers the full range of disciplines which can provide insight into the future of addiction, from genetics to the humanities. Written for a scientific audience, it is also applicable to non-specialists as well.
* Provides an unique overview of what we know about addiction, and how scientific knowledge can and should be applied in the societal, ethical, and political context
* Applies the state-of-the-art research in fields such as Genomics, Neuroscience, Pharmacology, Social Policy and Ethics to addiction research
* Includes a preface by Sir David King, Science Advisory to the UK Government and head of the Office of Science and Technology, and in introduction by Nora Volkow, director of the National Institute on Drug Abuse in the USA

Grounded in decades of CBT research and clinical practice, as well as cutting-edge cognitive science, this book provides critical tools for understanding and treating the full range of addictive behaviors. Bruce S. Liese and Aaron T. Beck explain how to systematically develop case conceptualizations and support clients in achieving their recovery goals. The authors use vivid case examples to illustrate CBT techniques, structure, psychoeducation, motivational interviewing, group treatment, relapse prevention, and other effective therapeutic components. Several reproducible forms can be downloaded and printed in a convenient 8 1/2" x 11" size. Reflecting nearly 30 years of important advances in the field, this entirely new book replaces the authors' classic Cognitive Therapy of Substance Abuse.

Substance addiction is a chronic, relapsing disorder characterized by a compulsion to take a substance despite potential consequences. Addiction, second edition offers a clear and succinct overview of the brain science underpinning substance addiction. Focusing on the nature of addiction as a brain disorder, this resource discusses a range of different behavioural traits such as impulsivity and reward dependence, and looks at the critical role of kinetic and pharmacological factors. All chapters have been fully updated to provide readers with a quick-reference guide to the latest research on pharmacological and non-pharmacological treatments for addition, and feature helpful key points and further reading sources. In addition, two new chapters on nicotine addiction and appetite hormones have been added to ensure the reader is kept abreast of the most recent discussions in the field of research.

Addiction: A biopsychosocial perspective provides students with an evidence-based approach to addiction whilst covering a broad range of topics, critical perspectives and influential theories in addiction. With chapters discussing key theories, psychological, biological and societal aspects of addiction, this is a highly accessible and essential resource for students and researchers that: Offers an evidence-based discussion of addiction Addresses the neuroscience and psychology of addiction Provides a critical account of the science and research in addiction Includes chapter overviews and summaries, learning aims and case studies to help students in their study

This updated and expanded edition of The Pregnant Drug Addict (1995) explores the difficulties of managing the maternity care of those who are drug dependent. Catherine Siney has brought together a number of specialists whose combined expertise provides an essential guide to this problematic subject. Key issues include the medical and obstetric problems of mothers, the consequences for the child, pregnant women who are HIV positive or have hepatitis B, outreach work and counselling.

Substance use disorders (SUDs) are common among many patients with medical and psychiatric disorders. Professionals from all medical and behavioral health disciplines must address SUDs to provide optimal care to patients. Failure to do so may contribute to morbidity and mortality in cases of more severe substance dependence.
This new volume in the Pittsburgh Pocket Psychiatry series provides a comprehensive overview of substance use disorders for medical students and psychiatric residents. It is aimed particularly at increasing student's knowledge and skills in addressing SUDs. The handy pocket-sized book focuses on those substances used, abused and leading to addiction and the clinical implications of SUDs. Epidemiology, etiology, classifications of SUDs, screening and assessment, and pharmacotherapy and psychosocial interventions are discussed alongside case histories illustrating the material covered. Questions for the reader stimulate thinking about specific cases and how the medical student or resident can help patients with SUDs.
Additional chapters focus on problems caused or worsened by SUDs such as Hepatitis C, HIV/AIDS and co-occurring psychiatric disorders. Relapse and recovery are also explored given many patients with substance dependence relapse. Adolescents with SUDs, prevention and harm reduction interventions are also reviewed.
The concept of rom SUDs is incorporated in many of the chapters. Medical, psychological, family and cultural aspects of addiction and recovery are addressed, providing the reader with a broad framework for understanding and helping patients with SUDs, as well as their families. An extensive list of online resources is provided that includes mutual support programs as well as professionals and organizations who offer helpful materials and programs for patients with SUDs.
Contributing authors represent medicine, psychiatry, social work, psychology in diverse treatment settings. Many authors are also researchers and all are educators involved in mentoring medical students, residents, fellows and other health care professionals.

After surviving nearly a decade of heroin abuse and hard living on the streets of San Francisco's Tenderloin District, Tracey Helton Mitchell decided to get clean for good. With raw honesty and a poignant perspective on life that only comes from starting at rock bottom, Tracey tells her story of transformation from homeless heroin addict to stable mother of three-and the hard work and hard lessons that got her there. Rather than dwelling on the pain of addiction, The Big Fix focuses on her journey of recovery and rebuilding her life, while exposing the failings of the American rehab system and laying out a path for change. Starting with the first step in her recovery, Tracey re-learns how to interact with men, build new friendships, handle money, and rekindle her relationship with her mother, all while staying sober, sharp, and dedicated to her future. A decidedly female story of addiction, The Big Fix describes the unique challenges faced by women caught in the grip of substance abuse, such as the toxic connection between drug addition and prostitution. Tracey's story of hope, hard work, and rehabilitation will inspire anyone who has been affected by substance abuse while offering hope for a better future.

Alcohol has always been an issue in public health but it is currently assuming increasing importance as a cause of disease and premature death worldwide. Alcohol: Science, Policy, and Public Health provides an interdisciplinary source of information that links together, the usually separate fields of, science, policy, and public health. This comprehensive volume highlights the importance of bringing scientific knowledge to bear in order to strengthen and develop alcohol public policy. The book looks at the historical evolution of alcohol consumption in society, key early studies of alcohol and disease, and the cultural and social aspects of alcohol consumption. It then goes on to cover the chemistry and biology of alcohol, patterns of consumption, gender and age-related issues, alcohol and injury, alcohol and cancer and non-malignant disease, and various current therapeutic aspects. The book concludes with a section on alcohol policy, looking at issues of poverty, the availability of alcohol and alcohol control measures. This major reference, written by international leaders in the fields of alcoholism and alcohol policy, provides a comprehensive study of one of the foremost health problems in the world, and represents the highest standards of research within the field. It will be valuable to physicians and health professionals involved with patients with alcohol-related problems, scientists, public health specialists, health policy specialists, researchers and legislators as well as students of public health.

This volume provides an in-depth look at the genetic influences that contribute to the development of alcoholism. Part I: Epidemiologic Studies contains five chapters that examine the various approaches employed in the study of the genetics of alcoholism. It provides a historical perspective and details all the essentials of this subject. Part II: Selective Breeding Studies highlights the results of research involving the selective breeding of rodents. This type of research has produced homogenous strains exhibiting specific behavioral responses considered significant in the development and maintenance of alcohol dependence. The studies presented in Part III: Phenotypic Studies investigate and analyze phenotypic markers that serve as correlates to the genotypic determinants of alcoholism. Through its broad scope, this volume provides for the first time a panoramic view of the knowledge available on the hereditary influences of alcoholism.